{{> local_signin/header}}
<div class="login-left-sec">
       <h3>Start Learning!</h3>
       <p class="go_back_btn">Change number? <a href="index.php">Go back</a></p>
       <div class="form-sec">
           <form name ="signup" id="signup" method="post" action="signup.php">
               <div class="form-inner-otp-sec form-inner-sec active_pareent">
                 <div class="form-inner-otp">
                   <div class="col">
                       <span>First Name</span>
                       <input type="text" name="fname" id="fname" class="form-control" placeholder="Please enter first name" value="{{#fname}}{{fname}}{{/fname}}">
                   </div>
                   <div class="col">
                       <span>Last Name</span>
                       <input type="text" name="lname" id="lname" class="form-control" placeholder="Please enter last name" value="{{#lname}}{{lname}}{{/lname}}">
                   </div>
                   {{^error}}
                    {{#email}}<div class="col">
                      <span>Mobile number</span>
                      <input type="text" class="form-control" name="phone" id="phone" placeholder="Enter you mobile number" value="{{#phone}}{{phone}}{{/phone}}">
                      <input type="hidden" name="email" id="email" value="{{email}}">
                    </div>{{/email}}
                    {{#phone}}<div class="col">
                      <span>E- mail</span>
                      <input type="email" class="form-control" name="email" id="email" placeholder="Please enter your email ID" value="{{#email}}{{email}}{{/email}}">
                      <input type="hidden" name="phone" id="phone" value="{{phone}}">
                    </div>{{/phone}}
                   {{/error}}
                   {{#email}}{{#mobile_error}}<div class="col">
                     <span>Mobile number</span>
                     <input type="text" class="form-control" name="phone" id="phone" placeholder="Enter you mobile number" value="{{#phone}}{{phone}}{{/phone}}">
                     <input type="hidden" name="email" id="email" value="{{email}}">
                   </div>{{/mobile_error}}{{/email}}
                   {{#phone}}{{#email_error}} <div class="col">
                     <span>E- mail</span>
                     <input type="email" class="form-control" name="email" id="email" placeholder="Please enter your email ID" value="{{#email}}{{email}}{{/email}}">
                     <input type="hidden" name="phone" id="phone" value="{{phone}}">
                   </div>{{/email_error}}{{/phone}}
                   <input type="hidden" name="utm_source" id="utm_source" value="{{utm_source}}">
                     <input type="hidden" name="utm_medium" id="utm_medium" value="{{utm_medium}}">
                     <input type="hidden" name="utm_campaign" id="utm_campaign" value="{{utm_campaign}}">
                     <input type="hidden" name="leadid" id="leadid" value="{{leadid}}">
                     <div class="error-msg">
                      {{#error}}<img src="img/error_icon.svg" alt="error"><label class="errors" name="error">{{{error}}}</label>{{/error}}
                    </div>
                     <div class="form-check form-check-tc">
                       <label class="form-check-label">
                       <input type="checkbox" class="form-check-input" id="tnc" value="tnc">I’ve read and accept the <a href="https://herovired.com/privacy-tc/" target="_blank">terms & conditions *</a>
                       </label>
                   </div>
                 </div>
                 <div class="col col-signup">
                     
                   {{! <button type="submit" class="btn btn-primary mb-2" name="signup">Sign up</button> }}
                   <input type="submit" class="btn btn-primary mb-2"  name="signup" value="Sign up">

                 </div>
                 <div class="left-sec-content">
                   <p>Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our  
                       <a href="https://herovired.com/privacy-tc/" target="_blank">privacy policy</a>.</p>
                 </div>
               </div>
           </form>
       </div>
</div>
       {{> local_signin/slider}}
       {{> local_signin/footer}}

<script>

</script>